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Form 941-SS
(Rev. October 2006)
For use with Form 941-SS (Rev. October 2006)
Employer’s QUARTERLY Federal Tax Return—American Samoa, Guam, the
Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands
Section references are to the Internal Revenue Code unless convenient programs to make filing and paying easier.
otherwise noted. Spend less time and worry on taxes and more time running
your business. Use e-file and Electronic Federal Tax
Payment System (EFTPS) to your benefit.
What’s New • For e-file, visit www.irs.gov for additional information.
• For EFTPS, visit www.eftps.gov or call EFTPS Customer
Change to filing addresses. We changed the addresses Service at 1-800-555-4477 (U.S. Virgin Islands only) or
where you should mail Form 941-SS. See Where Should 720-332-3780 (toll call).
You File? on page 2.
Social security wage base for 2006. Stop withholding
Change to reporting negative amounts. When reporting a
social security tax after an employee reaches $94,200 in
negative amount as a tax adjustment on line 7, use a “minus
taxable wages during 2006. (There is no limit on the amount
sign” instead of parentheses. Doing so enhances the
of wages subject to Medicare tax.)
accuracy of our scanning software. For example, report
“-10.59” instead of “(10.50). ” However, if your software only Where can you get telephone help? You can call the IRS
allows for parentheses in reporting negative amounts, you toll free at 1-800-829-4933 (U.S. Virgin Islands only) or
may use them. non-toll free at 215-516-2000 to order tax deposit coupons
(Form 8109) and for answers to your questions about
Reminders completing Form 941-SS, tax deposit rules, or obtaining an
employer identification number (EIN). Or visit the IRS
Alternative signature method. Effective with returns filed
website at www.irs.gov and type “Employment Tax” in the
after June 2005, corporate officers or duly authorized agents
Search box.
may sign Form 941-SS by rubber stamp, mechanical device,
or computer software program. For details and required
documentation, see Rev. Proc. 2005-39. You can find Rev.
Proc. 2005-39 on page 82 of Internal Revenue Bulletin General Instructions:
2005-28 at www.irs.gov/pub/irs-irbs/irb05-28.pdf.
Annual employment tax filing for small employers. For
Understanding Form 941-SS
calendar year 2006, certain small employers will be qualified
to file Form 944-SS, Employer’s ANNUAL Federal Tax Purpose of Form 941-SS
Return, rather than Form 941-SS, Employer’s QUARTERLY
Federal Tax Return, to report their employment taxes. The Use Form 941-SS, Employer’s QUARTERLY Federal Tax
IRS will notify those who will qualify to file the form Return, to report social security and Medicare taxes for
beginning in February 2006. For more information, get the workers in American Samoa, Guam, the Commonwealth of
Instructions for Form 944-SS. the Northern Mariana Islands, and the U.S. Virgin Islands.
Correcting Form 941-SS. If you discover an error on a Pub. 80 (Circular SS), Federal Tax Guide for Employers
previously filed Form 941-SS, make the correction using in the U.S. Virgin Islands, Guam, American Samoa, and the
Form 941-SS for the quarter in which you discovered the Commonwealth of the Northern Mariana Islands, explains
error and attach Form 941c, Supporting Statement to the requirements for withholding, depositing, and paying
Correct Information. For example, in March 2006, you social security and Medicare taxes. It explains the forms you
discover that you underreported $10,000 in social security must give your employees, those your employees must give
and Medicare wages on your fourth quarter 2005 Form you, and those you must send to the IRS. See Pub. 15-A,
941-SS. Correct the error by showing $1,530 (15.3% × Employer’s Supplemental Tax Guide, for specialized
$10,000) on line 7e of your 2006 first quarter Form 941-SS employment tax information supplementing the basic
and attaching a completed Form 941c. Be sure to include information provided in Pub. 80 (Circular SS).
the $1,530 in any required deposit.
Credit card payments. Beginning in 2006, employers can Who Must File Form 941-SS?
pay the balance due shown on Form 941-SS by credit card.
However, do not use a credit card to make federal tax Generally, you must file a return for the first quarter in which
deposits. For more information on paying your taxes with a you pay wages subject to social security and Medicare
credit card, visit the IRS website at www.irs.gov and type taxes, and for each quarter thereafter until you file a final
“e-pay” in the Search box. return. Use Form 941-SS if your principal place of business
Electronic filing and payment. Now, more than ever is in American Samoa, Guam, the Commonwealth of the
before, businesses can enjoy the benefits of filing and Northern Mariana Islands, or the U.S. Virgin Islands, or if
paying their federal taxes electronically. Whether you rely on you have employees who are subject to income tax
a tax professional or handle your own taxes, IRS offers you withholding for these jurisdictions.
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Once you have filed a return, a preaddressed Form Where Can You Obtain Forms?
941-SS will be sent to you every 3 months. You must file a
return each quarter, even if you have no tax liability to report See Pub. 80 (Circular SS) for information on ordering IRS
unless you file a final return. However, see Seasonal forms by telephone, mail, or online. You may also be able to
Employers and Agricultural and Household Employers get some IRS forms at the addresses listed below.
below. If the form fails to reach you, request one in time to
file. See Where Can You Obtain Forms? on page 2. American Samoa. Department of Treasury, Income Tax
Division, Government of American Samoa, Executive Office
Bldg., First Floor, Pago Pago, AS 96799.
Seasonal Employers
Seasonal employers are not required to file for quarters Guam. Department of Revenue and Taxation,
when they regularly have no tax liability because they have Government of Guam, Building 13-1 Mariner Avenue, Tiyjan
paid no wages. To alert the IRS that you will not have to file Barrigada, GU 96913.
a return for one or more quarters during the year, check the Commonwealth of the Northern Mariana Islands.
box in line 17 on Form 941-SS. The IRS will mail you two Administrator, CNMI Social Security System, Saipan,
Forms 941-SS once a year after March 1. The preprinted MP 96960.
information will not include the date the quarter ended. You U.S. Virgin Islands. V.I. Bureau of Internal Revenue,
must enter the date the quarter ended when you file the 9601 Estate Thomas, Charlotte Amalie, St. Thomas, VI
return. The IRS generally will not inquire about unfiled 00802.
returns if at least one taxable return is filed each year.
However, you must check the box in line 17 on every
quarterly return you file. Otherwise, the IRS will expect a How Should You Complete
return to be filed for each quarter. Form 941-SS?
Final Return
If you go out of business or stop paying wages, file a final Preprinted Name and Address Information
return. Be sure to check the box in line 16 and enter the If your preprinted name, EIN, or address information on
date that you last paid wages. See Terminating a business Form 941-SS is not correct, cross it out and type or print the
in the Form W-3SS instructions for information on the earlier correct information. However, do not change any of the
due dates for the expedited furnishing and filing of Forms preprinted information on your Form 941-V(SS), Payment
W-2AS, W-2GU, W-2CM, or Forms W-2VI when a final Voucher.
Form 941-SS is filed.
Employer Identification Number (EIN)
Agricultural and Household If you are liable for social security and Medicare taxes and
have not applied for an EIN, file Form SS-4, Application for
Employers Employer Identification Number. Do not show your social
Agricultural employers. Agricultural wages must be security number on forms calling for an EIN. You may also
reported on Form 943, Employer’s Annual Federal Tax apply for an EIN by calling 1-800-829-4933 (U.S. Virgin
Return for Agricultural Employees, not on Form 941-SS. Islands only) or 215-516-6999 (not toll free).
Household employers. Employers who report wages for If you do not have an EIN by the time a return is due,
household employees should see Pub. 80 (Circular SS) and write “Applied For” and the date you applied in the space
Pub. 926, Household Employer’s Tax Guide. shown for the number. If you do not have a number by the
time a tax deposit is due, send your payment to the Internal
Revenue Service Center where you file your returns. Make it
When Must You File? payable to the “United States Treasury” and show on it your
name (as shown on Form SS-4), address, kind of tax, period
File Form 941-SS for each quarter of the calendar year, as covered, and date you applied for an EIN. For more
follows: information about EINs, see Pub. 583, Starting a Business
Quarter Due Date and Keeping Records.
Jan.-Feb.-Mar. April 30 Always make certain that the EIN on the form you file
Apr.-May-June July 31 TIP matches the EIN assigned to your business by the
July-Aug.-Sept. Oct. 31 IRS. Filing a Form 941-SS with an incorrect EIN or
Oct.-Nov.-Dec. Jan. 31 using the EIN of another business may result in penalties
If you made deposits on time in full payment of the taxes and delays in processing your return.
for a quarter, you have 10 more calendar days after the
above due dates to file your return for that quarter. If the due Check the Box for the Quarter
date for filing a return falls on a Saturday, Sunday, or legal Under Report for this Quarter... at the top of the form, check
holiday, you may file the return on the next business day. the appropriate box of the quarter for which you are filing.
Make sure that the quarter checked is the same as shown
Where Should You File? on any attached Schedule B (Form 941), Report of Tax
Mail Form 941-SS to: Liability for Semiweekly Schedule Depositors.
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• Leave blank any data field (except lines 1 or 8) with a See section 8 of Pub. 80 (Circular SS) for information and
value of zero. rules concerning federal tax deposits and to determine your
• Use a minus sign to show negative amounts. status as a monthly or semiweekly depositor.
• Enter your name and EIN on all pages and attachments.
(Filers using the IRS-preaddressed Form 941-SS are not
required to enter their name and EIN on page 2.)
Specific Instructions:
Penalties and Interest
There are penalties for filing a return late and paying or Part 1: Answer these questions for
depositing taxes late, unless reasonable cause is shown for
the delay. If you file or pay late, attach an explanation to this quarter.
your return.
There are also penalties for failure to (a) furnish Forms 1. Number of employees who received
W-2AS, W-2GU, W-2CM, or W-2VI to employees and file
copies with the SSA and (b) deposit taxes when required. In wages, tips, or other compensation for the
addition, there are penalties for willful failure to file returns pay period including:
and pay taxes when due and for filing false returns or Tell us the number of employees on your payroll for the pay
submitting bad checks. See Pub. 80 (Circular SS) for period including March 12, June 12, September 12, or
additional information. December 12 for the quarter indicated at the top of the
Interest is charged on taxes paid late at the rate set by return. Do not include:
law. • household employees,
• employees in nonpay status for the pay period,
A trust fund recovery penalty may apply if social • pensioners, or
! security and Medicare taxes that must be withheld • active members of the Armed Forces.
CAUTION are not withheld or are not paid. Under this penalty,
certain officers or employees of a corporation, employees of If you enter “250” or more on line 1, you must file Forms
a sole proprietorship, or certain members or employees of a W-2 electronically. For details, call the SSA at
partnership become personally liable for payment of the 1-800-772-6270 or visit SSA’s Employer Reporting
taxes and are penalized an amount equal to the unpaid Instructions and Information website at www.socialsecurity.
taxes. See section 8 of Pub. 80 (Circular SS) for details. gov/employer.
employee’s report on tips, you do not have enough covered by law or by a voluntary Section 218 Agreement
employee funds available to withhold the employee’s share with SSA. For more information, see Pub. 963,
of social security and Medicare taxes, you no longer have to Federal-State Reference Guide.
collect it. Report the entire amount of these tips on lines 5b
(Taxable social security tips) and 5c (Taxable Medicare 5. Taxable social security and Medicare
wages and tips). Include as an adjustment on line 7c the wages and tips
total uncollected employee share of the social security and
Medicare taxes. 5a. Taxable social security wages. Report the total
wages, sick pay, or fringe benefits subject to social security
taxes that you paid to your employees during the quarter.
When and How Must You Deposit For this purpose, sick pay includes payments made by an
Your Taxes? insurance company to your employees for which you
received timely notice from the insurance company. See
You may pay the taxes with Form 941-SS instead of section 6 in Pub. 15-A for more information about sick pay
depositing if your total taxes after adjustments for the reporting.
quarter (line 8) are less than $2,500 and you pay in full with Enter the amount before deductions. Do not include tips
a timely filed return. on this line. For information on types of wages subject to
If your total taxes after adjustments (line 8) are $2,500 or social security taxes, see section 4 of Pub. 80 (Circular SS).
more for the quarter, you must deposit your tax liabilities at The rate of social security tax on taxable wages is 6.2
an authorized financial institution with Form 8109, Federal percent (.062) each for the employer and employee or 12.4
Tax Deposit Coupon, or by using the Electronic Federal Tax percent (.124) for both. Stop paying social security tax on
Payment System (EFTPS). and reporting an employee’s wages on line 5a when the
To get more information or to enroll in EFTPS, you may employee’s taxable wages (including tips) reach $94,200
call 1-800-555-4477 (or 720-332-3780 for territories unable during 2006. However, continue to withhold Medicare taxes
to use the toll-free numbers) or visit the EFTPS website at for the whole year on wages and tips even when the social
www.eftps.gov. security wage base of $94,200 has been reached.
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Page 4 of 6 Instructions for Form 941-SS 11:47 - 10-OCT-2006
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line 5a (column 1) 7b. Current quarter’s sick pay. Enter the adjustment
x .124 for the employee share of social security and Medicare
line 5a (column 2) taxes that were withheld by your third-party sick pay payer.
5b. Taxable social security tips. Enter all tips your 7c. Current quarter’s adjustments for tips and
employees reported to you during the quarter until the total group-term life insurance. Enter adjustments for:
of the tips and wages for an employee reach $94,200 in • any uncollected employee share of social security and
2006. Do this even if you were unable to withhold the Medicare taxes on tips and
employee tax of 6.2%. • the uncollected employee share of social security and
Medicare taxes on group-term life insurance premiums paid
An employee must report cash tips to you, including tips for former employees.
you paid the employee for charge customers, totaling $20 or Prior period adjustments. Use lines 7e and 7g to adjust
more in a month by the 10th of the next month. Employees amounts reported on previous returns. If you need to
may use Form 4070, Employee’s Report of Tips to report both an increase and a decrease for the same line,
Employer, or submit a written statement or electronic tip show only the difference.
record.
Adjustments you report here change your tax liability and
Do not include allocated tips on this line. Instead, report your tax deposits. You will have to take these adjustments
them on Form 8027, Employer’s Annual Information Return into account on line 15 as Tax liability: Month 1; Month 2;
of Tip Income and Allocated Tips. Allocated tips are not Month 3 or on Schedule B (Form 941). You must explain
reportable on Form 941-SS and are not subject to social any prior period adjustments that you make on Form
security or Medicare taxes. 941c, Supporting Statement to Correct Information, or in an
line 5b (column 1) equivalent statement.
x .124 Form 941c is not an amended return but is a statement
line 5b (column 2) providing the necessary information and certifications for
adjustments shown on lines 7e and 7g. Do not file Form
5c. Taxable Medicare wages and tips. Report all 941c separately from Form 941-SS. See also section 9 of
wages, tips, sick pay, and taxable fringe benefits that are Pub. 80 (Circular SS).
subject to Medicare tax. Unlike social security wages, there
is no limit on the amount of wages subject to Medicare tax. 7e. Prior quarters’ social security and Medicare
taxes. Enter adjustments for prior quarters’ social security
Include all tips your employees reported during the and Medicare taxes. For example, if you made a mistake
quarter, even if you were unable to withhold the employee when reporting social security and Medicare taxes on
tax of 1.45%. previously filed Forms 941-SS, adjust it here. If you need to
line 5c (column 1)
report both an underpayment and an overpayment, show
x .029
only the net difference.
line 5c (column 2) If you are adjusting an employee’s social security
TIP wages, social security tips, or Medicare wages and
For more information, see section 4 of Pub. 80 tips for a prior year, you must also file Form W-2c,
(Circular SS). Corrected Wage and Tax Statement, and Form W-3c,
5d. Total social security and Medicare taxes. Add Transmittal of Corrected Wage and Tax Statements.
social security tax, social security tips tax, and Medicare tax. 7g. Special additions to social security and
line 5a(column 2)
Medicare. This line is reserved for employers with special
line 5b(column 2) circumstances. Use this line only if the IRS has sent you a
+ line 5c(column 2) notice instructing you to do so. You must attach Form 941c
line 5d explaining the tax increase.
7h. Total adjustments. Combine all adjustments
7. TAX ADJUSTMENTS shown on lines 7a through 7g and enter the result here.
Enter tax amounts on lines 7a – 7g that result from current 8. Total taxes after adjustments
or prior period adjustments. Use a minus sign to show an Combine the amounts shown on lines 5d and 7h and enter
adjustment that decreases the total taxes shown on line 5d. the result here.
Do not enter an amount on line 7g unless the IRS has sent • If line 8 is less than $2,500, you may pay the full amount
you a notice instructing you to do so. with a timely filed return because you were not required to
Current period adjustments. In certain cases, you must deposit. See section 8 of Pub. 80 (Circular SS) for
adjust the amounts you reported as social security and information and rules about federal tax deposits.
Medicare taxes in column 2 of lines 5a, 5b, and 5c to figure • If line 8 is $2,500 or more, you must deposit your tax
your correct tax liability for this quarter’s Form 941-SS. See liabilities by using the Electronic Federal Tax Payment
section 8 of Pub. 80 (Circular SS). Do not attach Form 941c System (EFTPS) or at an authorized financial institution with
or an equivalent statement for current period adjustments. Form 8109. The amount shown on line 8 must equal the
If you need to adjust any amount previously reported on “Total liability for quarter” shown on Form 941-SS, line 15 or
lines 7a – 7c, use line 7e to report the adjustment and attach the “Total liability for the quarter” shown on Schedule B
Form 941c or an equivalent statement with an explanation. (Form 941).
7a. Current quarter’s fractions of cents. Enter If you are a semiweekly depositor, you must
adjustments for fractions of cents (due to rounding) relating
to the employee share of social security and Medicare taxes
! complete Schedule B (Form 941). If you fail to
CAUTION complete and submit Schedule B (Form 941), IRS
withheld. The employee share (one-half) of amounts shown will assert deposit penalties based on available information.
in column 2 of lines 5a – 5c may differ slightly from amounts
actually withheld from employees’ paychecks due to the 11. Total deposits for this quarter...
rounding of social security and Medicare taxes based on Enter your deposits for this quarter, including any deposits
statutory rates. that you were required to make to cover prior period
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liabilities resulting from adjustments shown on line 7. Also Note that your total tax liability for the quarter must equal
include in the amount shown any overpayment from a your total taxes shown on line 8. If it does not, your tax
previous period that you applied to this return. deposits and payments may not be counted as timely.
You are a monthly schedule depositor for the calendar
12. Balance Due year if the amount of your Form 941-SS taxes reported for
If line 8 is more than line 11, write the difference in line 12. the lookback period is $50,000 or less. The lookback
Otherwise, see Overpayment below. period is the four consecutive quarters ending on June 30
of the prior year. For 2006, the lookback period begins July
You do not have to pay if line 12 is under $1. Generally, 1, 2004, and ends June 30, 2005. For details on the deposit
you should have a balance due only if your total taxes for rules, see section 8 of Pub. 80 (Circular SS).
the quarter (line 8) are less than $2,500. (However, see
section 8 of Pub. 80 (Circular SS) for information about This is a summary of your monthly tax liability, not a
payments made under the accuracy of deposits rule.) ! summary of deposits you made. If you do not
CAUTION properly report your liabilities when required or if you
You may pay the amount shown on line 12 using EFTPS
or credit card. Do not use a credit card to pay taxes that are a semiweekly schedule depositor and report your
were required to be deposited. For more information on liabilities on line 15 instead of on Schedule B (Form 941),
paying your taxes with a credit card, visit the IRS website at you may be assessed an “averaged” failure-to-deposit (FTD)
www.irs.gov and type “e-pay” in the Search box. penalty. See Deposit Penalties in section 8 of Pub. 80
(Circular SS) for more information.
If you pay by EFTPS or credit card, file your return using • If you reported more than $50,000 of taxes for the
the “Without a payment” address on page 2 under Where lookback period (see above), you are a semiweekly
Should You File? and do not file Form 941-V(SS), Payment schedule depositor. Check the appropriate box on line 15.
Voucher. You must complete the Schedule B (Form 941) and
If line 8 is $2,500 or more and you have deposited all submit it with your Form 941-SS. Do not use Schedule B
taxes when due, line 12 (“Balance due”) should be zero. (Form 941) if you are a monthly schedule depositor.
Reporting adjustments on line 15. If your tax liability for
If you do not deposit as required and, instead, pay any month is negative (for example, if you are adjusting an
!
CAUTION
the taxes with Form 941-SS, you may be subject to a
penalty.
overreported liability in a prior period), do not enter a
negative amount for the month. Instead, enter zero for the
month and subtract that negative amount from your tax
13. Overpayment liability for the next month.
If line 11 is more than line 8, write the amount in line 13.
Never make an entry in both lines 12 and 13. Here’s an example:
If you deposited more than the correct amount for a Pine Co. discovered on February 6, 2006, that it
quarter, you can choose to have us either refund the overreported social security tax on a prior quarter return by
overpayment or apply it to your next return. Check the $2,500. Its Form 941-SS taxes for the first quarter of 2006
appropriate box in line 13. If you do not check either box, we were:
will automatically refund the overpayment. We may apply
January = $2,000
your overpayment to any past due tax account that is shown
February = $2,000
in our records under your EIN.
March = $2,000
If line 13 is under $1, we will send a refund or apply it to
your next return only if you ask us in writing to do so. Pine Co. reports liabilities on line 15 as follows:
Month 1 = $2,000
Fill out both pages. Month 2 = 0
You must fill out both pages of Form 941-SS and sign it on Month 3 = +$1,500
the second page. Failure to do so may delay processing of Total $3,500
your return.
The prior period adjustment ($2,500) offsets the $2,000
liability for February and the excess $500 must be used to
Part 2: Tell us about your deposit offset March liabilities. Since the error was not discovered
schedule and tax liability for this until February, it does not affect January liabilities reported
in Month 1 of line 15.
quarter. Using the above example, if the overreported social
security tax on a prior quarter return had been $10,000, Pine
15. Check one: Co. could carry the excess negative adjustment of $6,000
($10,000 − $2,000 − $2,000) to the next quarter. Pine Co.
• If line 8 is less than $2,500, check the appropriate box in would only report $4,000 of the adjustment on line 7e
line 15 and go to Part 3. because line 8 must equal the total shown in line 15.
• If you reported $50,000 or less in taxes during the See Form 941c for reporting requirements and information
lookback period (see below), you are a monthly schedule on the option of filing a claim for refund of overpaid
depositor unless the $100,000 Next-Day Deposit Rule employment taxes.
discussed in section 8 of Pub. 80 (Circular SS) applies.
Check the appropriate box on line 15 and fill out your tax
liability for each month in the quarter.
Part 3: Tell us about your business.
+ Month 1
+ Month 2 In Part 3, answer only those questions that apply to your
+ Month 3 business. If a question does not apply, leave it blank and go
Total tax liability for quarter to Part 4.
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